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NPI Code Detail

MEDICARE: HEATHER M DELANEY LCSW, LCADC

MEDICARE: HEATHER M DELANEY LCSW, LCADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor37LC00170000NJ
21041C0700XClinical Social Worker44SC05354000NJ

General Provider Information

NPI Number : 1194024950
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER M DELANEY LCSW, LCADC
Provider Business Mailing Address
First Line : 67 MERRILL RD
Second Line :
City : CLIFTON
State : NJ
Zip : 07012-1621
Country : US
Telephone Number : 201-410-8120
Fax Number :
Provider Business Practice Location Address
First Line : 53 ORCHARD ST
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1832
Country : US
Telephone Number : 201-410-8120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2011
Last Update Date : 05/20/2013

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